What to expect when your baby starts teething

A guide to the signs of teething, what’s normal, and how to support your baby during this uncomfortable time. 

The first tooth breaking through your baby’s gums is definitely a moment to celebrate – but the days before that can be tough. The fussiness, drooling, and sleepless nights can have parents wondering what’s going on and how to help. When will teething start? How do you deal with it, and is it teething or is your baby just sick? Dr Fefekazi Mpisane-Jama, a paediatrician (neonatology) at Mediclinic Milnerton, offers expert guidance.

When does teething start and what are the signs?

Most babies begin teething around six months, though some start earlier or later. “The common signs of teething include increased drooling and chewing on objects or fingers,” says Dr Mpisane-Jama. “Other indicators include irritability or fussiness, swollen or tender gums, and changes in eating or sleeping patterns.”

Sometimes a mild fever can occur during teething, but teething does not cause high fevers, she says. “If the baby has a temperature over 38.3°C, this may indicate another illness, and parents should seek medical advice.”

How long does teething last?

Parents can expect a gradual process. “Teething typically begins around six months and can last until about three years old when the last molars come in. Each tooth may take several days to a few weeks to emerge. During this time, parents can expect some discomfort and changes in behaviour. Symptoms usually come and go.”

How can I help my baby during teething?

When your baby is uncomfortable from teething, there are a few simple things you can try:

“Give them teething rings or chilled (not frozen) washcloths to chew on,” suggests Dr Mpisane-Jama.

For babies eating solid foods, she suggests providing cold foods like yoghurt or applesauce. “I also recommend gently rubbing your baby’s gums with a clean finger. And remember, cuddles provide comfort during this challenging time.”

On particularly difficult days, use over-the-counter pain relief medications as directed by your paediatrician.

Common teething myths

Dr Mpisane-Jama dispels three widely held beliefs about teething:

1. Fever: Teething does not cause high fevers or severe diarrhea; these symptoms may indicate another illness.
2. Weight loss: Teething does not cause significant weight loss; a decrease in appetite is normal, but not weight loss.
3. Rash: Teething does not directly cause rashes; however, drooling can lead to skin irritation around the mouth.

Keeping baby’s teeth healthy

Good oral hygiene should begin even before your baby’s teeth appear. “Gently wiping your baby’s gums with a soft, damp cloth after feeding helps remove bacteria and establishes a routine that will make tooth brushing easier later on," explains Dr Mpisane-Jama. “Once that first tooth emerges, switch to a small, soft-bristled toothbrush using just a smear of fluoride toothpaste the size of a grain of rice.”

This early care, along with your paediatrician’s guidance, helps build the foundation for a lifetime of healthy dental habits.